Individual
MR. JAMES MICHAEL VIDAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5006 132ND ST SE, EVERETT, WA 98208
(425) 357-6162
Mailing address
12921 47TH AVE SE, EVERETT, WA 98208
(425) 750-1596
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00021843
WA
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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